Skin cancer is the most common form of cancer in the United States and can occur anywhere on the body—including the delicate skin of the eyelids and surrounding facial areas. Early detection and treatment are essential, especially in high-risk areas such as the face, where precision and preservation of function are critical. Even small lesions near the eyes can have significant effects on appearance, comfort, and vision if not properly managed.
At California Eye & Face in Fresno, Dr. Atif Collins provides expert skin cancer evaluation and reconstructive treatment with a focus on the eyelids and periocular region. Dr. Collins is one of only 700 surgeons in the United States certified by the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), a distinction that reflects his exceptional qualifications and commitment to excellence. He is also board-certified with advanced cosmetic surgery training. Dr. Collins is uniquely trained to handle skin cancer cases requiring both surgical precision and aesthetic sensitivity. Patients throughout the San Joaquin Central Valley trust California Eye & Face for care that prioritizes safety, accuracy, and long-term outcomes.
Types of Skin Cancer Around the Eyes and Face
While skin cancer can affect any part of the body, the face is one of the most commonly affected areas due to its high sun exposure. The most frequent types of skin cancer treated around the eyelids and facial region include:
- Basal cell carcinoma (BCC): The most common type of skin cancer, often appearing as a pearly or waxy bump. BCC rarely spreads but can be locally invasive.
- Squamous cell carcinoma (SCC): A more aggressive type that may appear as a red, scaly patch or non-healing sore.
- Sebaceous gland carcinoma: A rare and potentially aggressive cancer often found on the eyelids.
- Melanoma: Though less common, melanoma is the most serious form and may appear as a pigmented lesion that changes in size, shape, or color.
Any lesion near the eyes that changes in appearance, bleeds, crusts, or does not heal should be evaluated by a specialist.
Signs That May Indicate Skin Cancer
Early signs of skin cancer near the eyes may include:
- A new bump or lesion on the eyelid or nearby skin
- A sore that doesn’t heal
- Changes in the size, shape, or color of an existing lesion
- Persistent redness, irritation, or crusting
- Loss of eyelashes near a lesion
- Bleeding or ulceration
Prompt evaluation improves the likelihood of complete removal and better cosmetic and functional outcomes.
Diagnostic Process and Biopsy
When a suspicious lesion is identified, Dr. Collins performs a thorough examination and may recommend a biopsy. A biopsy involves removing a small tissue sample for laboratory analysis to confirm the diagnosis and determine the type of cancer.
Once the pathology report is available, Dr. Collins discusses the findings and develops an individualized treatment plan tailored to the patient’s condition, overall health, and aesthetic goals.
Treatment Options and Reconstruction
Treatment typically involves surgical removal of the cancerous tissue, followed by reconstructive surgery to restore the natural contour and function of the affected area. Dr. Collins often works in collaboration with dermatologists and Mohs surgeons when appropriate.
Common treatment strategies include:
- Excision with clear margins to remove the lesion and prevent recurrence
- Mohs micrographic surgery for high-risk or complex cases, often followed by reconstruction
- Eyelid reconstruction using local flaps or grafts to maintain eyelid position, protect the eye, and achieve a natural appearance
- Scar revision or refinements after healing
The goal is always complete cancer removal with minimal impact on facial function and appearance.
Why Choose California Eye & Face for Skin Cancer Treatment?
Dr. Atif Collins completed advanced fellowship training in oculofacial plastic and reconstructive surgery at The Ohio State University, The James Cancer Center, and Nationwide Children’s Hospital. His ASOPRS certification places him among an elite group of surgeons qualified to manage skin cancer involving the eyelids and surrounding facial structures.
Rebecca Solomon, MSPA, PA-C, plays a key role in patient support, helping guide individuals through the pre- and post-treatment process. At California Eye & Face, patients receive thoughtful, coordinated care—with an emphasis on safety, clarity, and confidence at every step.
Protect Your Health with Skin Cancer Evaluation & Treatment in Fresno, CA
If you’ve noticed a new or changing lesion on your eyelid or facial skin, schedule a prompt evaluation at California Eye & Face in Fresno, CA. Call (559) 449-5054 today to receive expert diagnosis and treatment planning across the San Joaquin Central Valley.